|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,276.06 |
$1,276.06 |
$1,276.06 |
$2,429.37
|
|
Rmvl fb upr arm/elbow deep
|
$1,483.20 |
$1,483.20 |
$1,483.20 |
$3,638.88
|
|
Rmvl foreign body upper arm/elbow subcutaneous
|
$436.80 |
$436.80 |
$436.80 |
$1,822.05
|
|
Rmvl icd by tv extr
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$4,306.60
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$15,067.60 |
$15,067.60 |
$15,067.60 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$15,067.60 |
$15,067.60 |
$15,067.60 |
$33,467.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$15,067.60 |
$15,067.60 |
$15,067.60 |
$24,844.79
|
|
Rmvl icd pulse gen only
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$3,977.32
|
|
Rmvl ndwellg tun pleural cath
|
$238.20 |
$238.20 |
$238.20 |
$1,156.80
|
|
Rmvl perm pm pulse gen
|
$3,074.00 |
$3,074.00 |
$3,074.00 |
$6,094.40
|
|
Rmvl perq right heart vad
|
$261.00 |
$261.00 |
$261.00 |
$1,610.35
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$9,344.60 |
$9,344.60 |
$9,344.60 |
$14,929.60
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$8,898.00 |
$8,898.00 |
$8,898.00 |
$10,542.00
|
|
Rmvl pq iabp
|
$594.20 |
$594.20 |
$594.20 |
$1,008.04
|
|
Rmvl sq defib electrode
|
$1,156.60 |
$1,156.60 |
$1,156.60 |
$4,089.00
|
|
Rmvl subq card rhythm mntr
|
$750.40 |
$750.40 |
$750.40 |
$1,734.00
|
|
Rmvl tv pm lead dual
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$1,417.40 |
$1,417.40 |
$1,417.40 |
$4,031.69
|
|
Robot lin-radsurg com, first
|
$2,129.40 |
$2,129.40 |
$2,129.40 |
$12,857.60
|
|
Robt lin-radsurg fractx 2-5
|
$1,555.60 |
$1,555.60 |
$1,555.60 |
$9,934.40
|
|
Romidepsin 10 mg/2 ml intravenous powder for solution
|
$1,748.44 |
$1,748.44 |
$1,748.44 |
$6,333.33
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$255.60 |
$255.60 |
$255.60 |
$188.50
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$414.00 |
$414.00 |
$414.00 |
$2,173.60
|
|
Rp loclzj tum 2+area 1+d img
|
$411.40 |
$411.40 |
$411.40 |
$1,310.00
|
|
Rp loclzj tum spect w/ct 1
|
$932.00 |
$932.00 |
$932.00 |
$2,542.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$434.00 |
$434.00 |
$434.00 |
$2,173.60
|
|
Rpl tun-cvad w subq port
|
$1,672.40 |
$1,672.40 |
$1,672.40 |
$4,647.04
|
|
Rpl tun-cvad w subq pump
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$5,983.35
|
|
Rpl tun cvc wo subq port
|
$1,334.00 |
$1,334.00 |
$1,334.00 |
$3,687.00
|
|
Rsv assay w/optic
|
$31.80 |
$31.80 |
$31.80 |
$79.38
|
|
Rubella antibody igg
|
$68.00 |
$68.00 |
$68.00 |
$77.03
|
|
Rubeola antibody igg
|
$77.60 |
$77.60 |
$77.60 |
$80.00
|
|
Russell viper venom diluted
|
$34.40 |
$34.40 |
$34.40 |
$72.54
|
|
Rx metab gen seq alys pnl 6
|
$106.20 |
$106.20 |
$106.20 |
$1,008.79
|
|
Salmonella antibody
|
$28.20 |
$28.20 |
$28.20 |
$37.58
|
|
Sarscov coronavirus ag ia
|
$37.20 |
$37.20 |
$37.20 |
$59.25
|
|
Sarscov & inf vir a&b ag ia
|
$100.20 |
$100.20 |
$100.20 |
$104.00
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$337.00 |
$337.00 |
$337.00 |
$983.50
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$152.00 |
$152.00 |
$152.00 |
$662.00
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$363.40 |
$363.40 |
$363.40 |
$750.20
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$204.60 |
$204.60 |
$204.60 |
$497.20
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$258.00 |
$258.00 |
$258.00 |
$583.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$156.20 |
$156.20 |
$156.20 |
$721.60
|
|
Scan duplex lower extremity arteries complete bilateral
|
$363.40 |
$363.40 |
$363.40 |
$985.20
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$256.00 |
$256.00 |
$256.00 |
$660.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$140.80 |
$140.80 |
$140.80 |
$595.35
|
|
Sclerotherapy fluid collection pq w/img
|
$432.40 |
$432.40 |
$432.40 |
$2,114.45
|
|
Scr c/v cyto,thinlayer,rescr
|
$30.00 |
$30.00 |
$30.00 |
$85.15
|
|
Screening Mammogram
|
$116.60 |
$116.60 |
$116.60 |
$312.55
|
|
Screening prostate cancer PSA
|
$109.40 |
$109.40 |
$109.40 |
$100.63
|
|
Screw cortex 2.0 x 10mm
|
$1,850.60 |
$1,850.60 |
$1,850.60 |
$29,055.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$2,332.40 |
$2,332.40 |
$2,332.40 |
$4,377.50
|
|
Sedimentation rate erythrocyte automated
|
$38.20 |
$38.20 |
$38.20 |
$42.00
|
|
Semen analysis presence/motility
|
$44.40 |
$44.40 |
$44.40 |
$71.05
|
|
Set radiation therapy field
|
$214.80 |
$214.80 |
$214.80 |
$762.40
|
|
Set radiation therapy field
|
$288.40 |
$288.40 |
$288.40 |
$1,157.38
|
|
Set radiation therapy field
|
$422.40 |
$422.40 |
$422.40 |
$1,636.36
|
|
Sevelamer carbonate 800 mg tablet
|
$1.08 |
$1.08 |
$1.08 |
$7.14
|
|
Sevelamer carbonate pdr 20mg
|
$2.19 |
$2.19 |
$2.19 |
$21.96
|
|
Shoulder MRI (with and without contrast)
|
$939.20 |
$939.20 |
$939.20 |
$2,713.80
|
|
Shoulder MRI (with contrast)
|
$817.00 |
$817.00 |
$817.00 |
$2,448.60
|
|
Shoulder MRI (without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$2,065.05
|
|
Shoulder X-ray
|
$77.20 |
$77.20 |
$77.20 |
$339.50
|
|
Shuntogram nonvascular supervision & interpretation
|
$258.80 |
$258.80 |
$258.80 |
$349.20
|
|
Sickling rbc
|
$45.00 |
$45.00 |
$45.00 |
$57.92
|
|
Sincalide 5 mcg solution for injection
|
$115.18 |
$115.18 |
$115.18 |
$307.58
|
|
Sinus CT scan (with and without contrast)
|
$910.40 |
$910.40 |
$910.40 |
$1,790.00
|
|
Sinus CT scan (with contrast)
|
$802.00 |
$802.00 |
$802.00 |
$1,527.60
|
|
Sinus CT scan (without contrast)
|
$773.80 |
$773.80 |
$773.80 |
$1,292.04
|
|
Sinus/juglr venogram s&i
|
$1,247.80 |
$1,247.80 |
$1,247.80 |
$2,489.25
|
|
Sirolimus, oral
|
$243.45 |
$243.45 |
$243.45 |
$41.25
|
|
Skel musc relaxant 3 or more
|
$74.20 |
$74.20 |
$74.20 |
$16.12
|
|
Skin Biopsy
|
$149.60 |
$149.60 |
$149.60 |
$360.34
|
|
Sleep study attended
|
$435.00 |
$435.00 |
$435.00 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$1,270.80 |
$1,270.80 |
$1,270.80 |
$3,607.50
|
|
Sleep study unattended
|
$102.20 |
$102.20 |
$102.20 |
$580.87
|
|
Sling suprapubic suburetheral
|
$585.40 |
$585.40 |
$585.40 |
$9,679.96
|
|
Slitting of prepuce
|
$553.00 |
$553.00 |
$553.00 |
$3,365.50
|
|
Slp stdy unatnd w/anal
|
$107.00 |
$107.00 |
$107.00 |
$296.34
|
|
Sm-153 lexidron ther
|
$3,641.80 |
$3,641.80 |
$3,641.80 |
$7,320.12
|
|
Smear fluorescent and/or acid fast stain
|
$44.40 |
$44.40 |
$44.40 |
$64.20
|
|
Smear gram stain
|
$31.80 |
$31.80 |
$31.80 |
$55.25
|
|
Smear special stain inclusion bodies/parasites
|
$31.60 |
$31.60 |
$31.60 |
$73.15
|
|
Smear wet mount
|
$19.20 |
$19.20 |
$19.20 |
$67.49
|
|
Sodium 24 hour urine
|
$40.40 |
$40.40 |
$40.40 |
$48.60
|
|
Sodium chloride 0.9 % intravenous solution
|
$119.60 |
$119.60 |
$119.60 |
$48.11
|
|
Sodium chloride 0.9 % IV bolus
|
$110.40 |
$110.40 |
$110.40 |
$46.00
|
|
Sodium chloride 0.9 % IV bolus
|
$41.40 |
$41.40 |
$41.40 |
$37.50
|
|
Sodium chloride 3 % ivpb
|
$8.25 |
$8.25 |
$8.25 |
$40.61
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$12.06 |
$12.06 |
$12.06 |
$77.77
|
|
Sodium serum/plasma/whole blood
|
$37.40 |
$37.40 |
$37.40 |
$45.60
|
|
Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution
|
$148.50 |
$148.50 |
$148.50 |
$177.52
|
|
Special physics consult
|
$265.20 |
$265.20 |
$265.20 |
$725.00
|
|
Special radiation dosimetry
|
$86.60 |
$86.60 |
$86.60 |
$392.50
|
|
Special radiation treatment
|
$824.00 |
$824.00 |
$824.00 |
$1,986.00
|
|
Special teletx port plan
|
$334.40 |
$334.40 |
$334.40 |
$1,086.99
|
|
Specific gravity body fluid
|
$18.00 |
$18.00 |
$18.00 |
$22.00
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$420.00 |
$420.00 |
$420.00 |
$1,439.40
|
|
Spirometry bronchodilation responsiveness pre/post bronchodilator administration
|
$189.00 |
$189.00 |
$189.00 |
$543.26
|
|
Split blood or products
|
$41.60 |
$41.60 |
$41.60 |
$127.48
|
